Individual provider Active NPI

Aine Marie Kosko, FNP-C

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1255602108
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21495 Issued in CA
Practice address
1329 Spanos CT Ste C3
Modesto, CA 95355-2806
Phone
(209) 530-3774
NPI assigned
Jan 24, 2012
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21495 CA Primary
Registered Nurse 163W00000X 661809 CA

Addresses

Primary practice location

1329 Spanos CT Ste C3
Modesto, CA 95355-2806

Mailing address

3113 Nottingham LN
Modesto, CA 95350-1564
Phone (209) 678-7722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328000092 CA Practitioner - Nurse Practitioner 9436593522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21495CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Hospitals CurrentSince Feb 13, 2024 Accepting new patients
Sutter Valley Hospitals Current Accepting new patients
Sutter Valley Hospitals CurrentSince Feb 13, 2024 Accepting new patients
Caremore Health Plan Past Accepting new patients
Caremore Health Plan Family Past Accepting new patients

Locations

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

Interoperability endpoints

  • Direct secure messaging: akosko87924@hisp.ehr.sutterhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1255602108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 NOTTINGHAM LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501564",
            "telephone_number": "209-678-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 SPANOS CT STE C3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552806",
            "telephone_number": "209-530-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKO",
        "first_name": "AINE",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21495",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "661809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.